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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FA>; 425-257-8857 www.everettwa. �/ e <br />APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM "3 <br />p $ PROPERNTAXp P�RMI 1 � � <br />tSRo\S� C�n...ol p,�1e. �do�.,�T �060 550 �zoo4-o�f- C.I' 0-01� <br />1L for new conslruction: Shorl PlaVsubtlivision 12 �2 —`� ]^ �Y `� Lo� No. L (atlach copy ol long legal descnplian) <br />, z�6_GS�+ - G�%7�_ ., �� _ - <br />5� rcC 'rFv2��.a �.a �t � t��� <br />7%� 12�-rti nv� N� , s., :-r�z zA <br />-, ..._ <br />J .ro. <br />m <br />Owner _OwneYsA�enl _Canlrac�or _Conlractor'sAgenl _Tenanllm�sio��aeoi�nero�m�semnwnmvow�anoaowon�nmasp.cel <br />&ILic.# <br />BUILDING PERMIT APPLICATIOk <br />PRICE OF WORK <br />Existing Use of Building �'� -� `"� � <br />Proposed Use of Building �P >���7� �� � N`"` �`Z <br />Building type: � Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of projecl' � New Addilion Remodel Repair T.I. _ Sign _,Sprinkle <br />DESCRIPTION OF WORK (aud�tional spece provided on fhe back) : <br />'ri�,,l�� �c�=+ •+-s��a��{o�sz <br />( ��c_�5;c �-IZ�� <br />MECHANICAL PERMIT APPLICATION <br />of ProJect: ✓ Now_Addn _Altcratlon_Ropair <br />Shoiv Num6cr (N) o! (ixfures <br />I A/C — air handlina unils <br />/ <br />Bus. Lic. # <br />SOURC <br />PLUMBING PERMIT APPLICATION <br />ofProJoct: �Now_Addn _Alteration_Ropair <br />Other: <br />Gas <br />I � Number of Heads I I � "°"'. <br />I hereGy ce�,ty Ihat I hove read end exomineA Ihis application end knaw the same lo bo truo antl cortect. Atl pmvisions ol laws ontl ardlnances goveming �his t�pe ol work vn0 be complied <br />�cu� whel�er speufied �ereln or nol Tha granting o1 a permit does nol presume to give aut�oriry to violate or cancel t�o provizion ol any olher slate or local law regulaling cons Wction <br />7na1 I am eut�orixed by tha o�mer ol l�is pmperty to pedorm tna work lor wliich aDPliwtion Is matlo anG 1 comply wM iho Stale Contrectors Law 1017 RCW an0 29fi 200A WAC. <br />% 1 <br />�.�C�..,.j� ���...���>� 7, �z, � z IZ <br />Ownor(Authorizad Agonl Signatum Dale (Revised 620f2) <br />